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Images in paediatrics
Tension gastrothorax – a life-threatening late presentation of congenital diaphragmatic hernia
  1. Nikki Pelech1,
  2. Vijay Harikrishnan2,
  3. Brigid Allagoa1
  1. 1 Paediatrics, Mid Yorkshire Hospitals NHS Trust, Wakefield, UK
  2. 2 Paediatrics, Airedale NHS Foundation Trust, Keighley, West Yorkshire, UK
  1. Correspondence to Dr Nikki Pelech, Paediatrics, Mid Yorkshire Hospitals NHS Trust, Wakefield WF1 4DG, UK; nikki.pelech{at}

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A 6-month-old boy was admitted to our paediatric unit with inconsolable crying. The antenatal and neonatal background was unremarkable. On initial assessment, he had an irritable high-pitched cry, mild respiratory distress and normal oxygen saturations. Shortly after admission, he acutely deteriorated and developed severe respiratory distress and hypoxia. Examination of his chest revealed reduced air entry on the left side. An urgent X-ray revealed radiolucency of the entire left hemithorax with mediastinal shift …

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  • Contributors NP wrote the original manuscript. Critical review and support was provided by VH. Critical review and supervision was provided by BA.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.